Individual provider Active NPI

Patrick Eugene Donnelly, DMD, PHD

  • General Practice Dentistry
  • Greensburg, PA
National Provider Identifier
1487222337
Registry record updated Dec 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS043157 Issued in PA
Practice address
105 Meadow Spring Rd
Greensburg, PA 15601-6935
Phone
(724) 832-1835
NPI assigned
Jun 16, 2021
Last updated
Dec 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS043157 PA Primary

Addresses

Primary practice location

105 Meadow Spring Rd
Greensburg, PA 15601-6935

Mailing address

105 Meadow Spring Rd
Greensburg, PA 15601-6935
Phone (724) 832-1835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DS043157PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Dental Practice Associates General Practice CurrentSince Jan 8, 2023 Accepting new patients
Irwin Family Dental, LLC General Practice PastSince Apr 9, 2023 Accepting new patients
Mountain View Dental LLC General Practice PastSince Jan 1, 2023 Accepting new patients

Locations

105 Meadow Spring Rd
Greensburg, PA 15601
Phone (724) 832-1835

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672444800000",
    "number": "1487222337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MEADOW SPRING RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016935",
            "telephone_number": "724-832-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MEADOW SPRING RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016935",
            "telephone_number": "724-832-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "PATRICK",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DMD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2022-12-31",
        "certification_date": "2022-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.